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AlPPL�CATIC 7 FOR CONSTRUCT )N PERMIT ��� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> � CI'EATW�SYSTEM: �GAS JELECTFIC J_ —� <br /> BUILDING DEPARTMEN"( <br /> 259�810 <br /> ' DEMOLITION COMBINATION BUILDING )CNIECHANICAL _PLUMBING SIGN <br /> ov�mn r.uu noon=yy an tm r,�nic <br /> rE�nun��—��nnrtwon:ss Grv )m r�=:%'.� — '-- <br /> Mp��i[CtOf1�[SGNER 4ARAODPE55 CI1T ZR' YnIXIE <br /> (, v'CfIPI'(1111PI. lIXV �.AIL/�Oftl1E5S CIIV lIV VNONE $lAiEI�CEN-,EI <br /> qLL ome5 _ _ <br /> a icn�' i+neron una<ome-s c�*r nia r�wr�c stueuceuse. <br /> '��l��,z, -� �6�x 2C�� /3eC c. �goo� ,?�1G�, o�o� - <br /> ruiuovr,�,courrncion rauinooness crtv nr ' rnorve s*+Teuceac� <br /> ¢n»oroon� <br /> j�NEW AODITION ALTERATICN REPAIR DEMOUTION WOODSTOVEPFPLINSERT � BUILOINGFiELOf.liiON <br /> G:)NIIIACi C1110E Cf\YOFN <br /> Z Z�� �o��„�,�Ex��<���oTt�� H�-T �5'�-!�3�� — <br /> J6G��tlE YVOflR hi10 SOUARL ffALI.LL I'h'OC/C� <br /> .in���cl co�.ilz'(e � �n� ST�v-� _ - ---- <br /> �u��.��nsmuseorounu�xc i Hi REBV CERiIFV THAT I HAVE REA� AIJD EXAMINEO THIS <br /> APPJGATION AND NNOW THE SAM[TO BE TRl1E AND COR32CT.ALL <br /> ur'„n�;scmvnor�orpnorEnrviseam�oewwonerrecHvouncories� �'RUVISIONSOFLAWSANDOROINONCESGCVERNINGTHIST'/P[OF <br /> � W.`RH WILL BE COMPLETED WITH WMETHEF SPEqFlED HEREIH OR <br /> ic�_4�_B�oa oc _ ROT.THE GR�NTING OF A PERlAIT UOE.^ k0T PRESUME iO:�IVE <br /> AUTHORITV TO VIQLAfF OR CANCEL Tu.' PROVISIONS OF ANV <br /> OTHER STATE OP LOCAL LAW flEGULATING(.7NSTPUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I Pld AUTHOHIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM'HE YlORK FOR WHICH <br /> — APPLICATION IS MA�E AND I COMPLV WITH THE STATE <br /> COMiRACTORS LA'Y 1827 PCW AND 296200�VAC. <br /> 6 3� - �a�'% P�� _ X�.�- .,, 'Z `� — <br /> �i.P'.»LGI�OORE55 .+.cnNn[ <br /> ril�' <br /> PWhiBING MECNANICAL� <br /> NO. TVPE Of FIXTUNE Ofl ITEM FEE N0. TVPE OF EOUIPIAENT FEE <br /> WATEfl CLOSEI�TORETI AL—A'NN�IG UNITS—H.P <br /> OATHTII� J FOFCEDAIHSVSTEMS—BTU bd:: _ _ <br /> � LAVATORV�WASHBASIW UNITMEATEFIS—B_TLL Id �___. <br /> SHONIER CLOTHESORVERS , <br /> KITCHEN SINK 6 DISP � VENTMTION FAN ' _ <br /> OISHW�SHER R�t1G[HUOD <br /> LAUN�RY TRAV V!.TER HEATEfl � <br /> CLOTHES WASHER WO00 STOVE �_ <br /> � URINAL METAL FIREPLACE 8 CHIMNEV <br /> DflINKING FCl1NTFIN FIREPLACE INSERT <br /> FLOOR DflAIN HEAT PUMP <br /> BACKFLCW PREVENTERS GAS PIPING _ <br /> ROOF DRAINS—flAINLEA0ER5 EXHAl15T FAN ___. <br /> _ SINK�SERVICE—BAR,ETC.� _ ��_h �—.— <br /> " --� <br /> SUBTOTAL 5 SLIBTOTAL 5 �_ <br /> PERIAIT 5 PERMIT S � <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> H1001`EIp�CK PEAflGEiOALN S�OLSEiOALN P.ANCUECNNU��Cf1 fCE AFCFPRIO <br /> �oc��are �orneee v�cu�rsne FEES �A�UATION FEE <br /> B111L01NG <br /> .�f.V[pIlISUlOWAOIE ttM04[ONSt.1LN4 IXSuwx+ rOamMu..x:�.v.e — ---- <br /> L°W° PLWA9ING <br /> SIfO�ALCG NQOFS1001E5 BASEMFNI MECIUNICAI <br /> ncc•.navCvloeD FiAESvnHxiEnS�EOD neiGN�uunqii0rv ADDRIONALPUNCHEGK <br /> SPFiiNNLER <br /> I�1%. '.!:lON SPIiINKlEFS <br /> STATE OWL�ING SURCHABGE <br /> .r>.rnv nnr�snwr�ovronv �ITYOFEVEflE7T ruouCwoeKs ' <br /> �LOCAL SALES <br /> TAX COOE IS 3705 T�TA� <br /> � ��-���_���. <br />